| NPI | 1487904041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MACHOSE Managing Member/Behavior Analyst 704-931-8870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 4297) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2019-04-30 |