| NPI | 1376054064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEONNA SYMONE TEASLEY Co Founder 704-264-7769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2018-02-24 |