| NPI | 1679311005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KLEIN Senior Director 662-205-0655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2025-04-14 |