| NPI | 1427705094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS A. JORDAN President 757-447-0883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2022-05-18 |