| NPI | 1427632579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ELIAS CEO 704-561-1143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-11-30 |