| NPI | 1255171526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENNILLE SMITH CEO 757-998-0125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-05-25 |
| Last Update Date | 2025-06-17 |