| NPI | 1982440699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORUCH STEFANSKY Operations Manager 252-431-0352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-17 |