| NPI | 1396017372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY HOLTON Owner 615-916-0664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2025-02-28 |