NPI | 1649728106 |
---|---|
Entity Type | Organization |
Authorized Contact | EMMANUEL ELOISIN Behavior Assistant 855-832-6727 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 624276) |
Enumeration Date | 2016-09-13 |
Last Update Date | 2016-09-13 |