NPI | 1982352928 |
---|---|
Entity Type | Organization |
Authorized Contact | KOLBY TERRELONGE CEO 770-401-8114 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 111NX0100X Chiropractor, Occupational Health |
251S00000X | |
Enumeration Date | 2022-03-17 |
Last Update Date | 2022-03-17 |