| NPI | 1922743848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARANDA LEAH PORTER Owner Behavior Analyst 888-508-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-05-04 |