| NPI | 1093950172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE KORNER Clinical Director/CEO 786-274-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL 1-01-0517 BCBA) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |