| NPI | 1770234783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAELIA MATHIS Sr. Director Of Rcm 484-965-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2024-01-30 |