| NPI | 1992674006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKEEL GREEN Partner 804-274-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2025-11-05 |