| NPI | 1417719022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E JOHNSON CEO 888-279-9898 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |