| NPI | 1982145306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORNE THOMAS BALMER Behavior Analyst/Owner 765-776-6668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: 1-09-5012) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: 0-16-7295) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-04-08 |