| NPI | 1215702311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH MCILRATH Owner/Partner 218-606-0819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2023-11-17 |