| NPI | 1679445118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIAN JOYCELYN QUINN Behavior Technician 704-431-0957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251B00000X Case Management | |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-10-16 |