| NPI | 1538465240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYCATE MCDONOUGH Director 267-253-5366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2024-11-14 |