| NPI | 1205675089 |
|---|---|
| Doing Business As | CONSCIOUSABRAXAS |
| Entity Type | Organization |
| Authorized Contact | JEFF JACKIE ZEPHIRIN Behavior Technician 540-654-0179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-09-19 |