| NPI | 1427810159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL EVERHART Board Certified Behavior Analyst 804-475-0714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2026-03-08 |