| NPI | 1184018905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLYN ORTEGA Director 786-535-0453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251B00000X Case Management (Licence: FL 016420400) | |
| 251S00000X Community/Behavioral Health | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2025-02-06 |