| NPI | 1144575572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA OSMIANSKI COO 304-242-6722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2025-10-22 |