NPI | 1134628951 |
---|---|
Entity Type | Organization |
Authorized Contact | ANIA RODRIGUEZ Owner 239-471-2874 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 103K00000X Behavior Analyst |
251B00000X Case Management | |
Enumeration Date | 2018-02-07 |
Last Update Date | 2024-08-21 |