| NPI | 1578890869 |
|---|---|
| Doing Business As | GREENWOOD INTERPROFESSIONAL AUTISM CENTER |
| Doing Business As | TSU STUDENT HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | BRANDON HERSCOVITCH Director 978-806-1455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 207Q00000X Family Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2022-09-23 |