| NPI | 1366103459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZELDA VIOLET KITT Owner 334-301-5810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-01-01 |
| Last Update Date | 2024-05-29 |