| NPI | 1689150385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE MARIE PETREMONT Bcba 412-720-1629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 1-15-21110) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |