| NPI | 1922823194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAKENA STEWART Owner 919-228-8026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 208000000X Pediatrics | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| 261QH0100X Clinic/Center Health Service | |
| 103K00000X Behavior Analyst | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 106E00000X Assistant Behavior Analyst | |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2025-01-26 |