| NPI | 1881194249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA M SERRANO Director 704-200-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12854) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-17-24973) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-04-02 |