| NPI | 1558891457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BEATY Officer 803-814-4449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2020-01-21 |