| NPI | 1174213698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIARISLEIDYS DIAZ MENENDEZ Owner 305-721-7217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2024-02-20 |