NPI | 1700305646 |
---|---|
Entity Type | Organization |
Authorized Contact | MERCEDES MERRITT WILLIAMS CEO/Owner 678-310-9707 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 40044) |
Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: IN 28315) |
405300000X Prevention Professional | |
Enumeration Date | 2017-09-12 |
Last Update Date | 2022-07-21 |