| NPI | 1093566952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANELZA R. CHANG-RIVERA Director 786-478-7643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 235Z00000X Speech-Language Pathologist, | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 302R00000X Health Maintenance Organization | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-08-14 |