| NPI | 1972146223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHIDHRA S POOLE CEO 804-601-0042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |