| NPI | 1063007912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSEL SARDINAS President 786-307-7643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2023-06-12 |