| NPI | 1790168847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MCCORMICK Director Of Operations 706-437-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: 1-14-17565) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2025-07-01 |