| NPI | 1053026260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANET FERNANDEZ Owner 786-899-8240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2025-04-03 |