| NPI | 1073993119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA O IGLESIAS President 305-400-8998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2023-03-06 |