| NPI | 1508659459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD JEGER CEO 336-245-9155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-23 |