| NPI | 1174027247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANET MIRABAL President 786-868-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2022-11-15 |