| NPI | 1881347862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS FLYNN Registered Behavior Technitian 346-767-2312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-01-31 |