| NPI | 1518322577 |
|---|---|
| Doing Business As | CRYSTAL S THOMPSON |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL SHAREE THOMPSON Owner/Director 704-277-1884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 252Y00000X Early Intervention Provider Agency (Licence: FL 1-14-15947) | |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2020-07-15 |