| NPI | 1215502604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE JASON BRITT Administrator/ Owner 757-907-7094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2021-07-08 |