NPI | 1326394107 |
---|---|
Entity Type | Organization |
Authorized Contact | TONYA RENE DAWSON Board Certified Behavior Analyst 254-238-1130 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 1-12-10256) |
Enumeration Date | 2012-07-30 |
Last Update Date | 2012-07-30 |