| NPI | 1033823547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA BESS Ed 606-584-1169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-01-09 |