NPI | 1518623065 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIANNA LEVESTON Owner/ CEO 469-400-1424 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2021-11-09 |
Last Update Date | 2023-08-04 |