| NPI | 1528730561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXUS TAYLOR NEWMAN Registered Behavior Technician 229-296-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2021-09-28 |