| NPI | 1881046217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE ROSEMARY BERNICE SMITH Behavior Technician 682-201-0889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-07-09 |
| Last Update Date | 2022-07-21 |