| NPI | 1104471697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HARPER Dir Of Operations 857-829-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2024-02-28 |