| NPI | 1215778105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSHE COLEMAN Member 303-406-2696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-12 |