| NPI | 1073311569 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ETERNIA RICHMOND CEO 910-709-3487 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 101YP2500X Counselor, Professional | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 235Z00000X Speech-Language Pathologist, | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-03-03 | 
| Last Update Date | 2025-03-03 |