| NPI | 1194407387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM DOWLING Owner 636-544-3678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2024-11-18 |