| NPI | 1760196745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA VOGT Board Certified Behavior Analyst 252-402-0513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-01-13 |