NPI | 1295143097 |
---|---|
Doing Business As | LAUNCH THERAPY CENTER |
Entity Type | Organization |
Authorized Contact | SHAWN MICHAEL BOHANAN Behavior Analyst/ Owner 706-833-9515 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2014-07-24 |
Last Update Date | 2021-05-11 |