| NPI | 1205223054 |
|---|---|
| Other Name | BEAHVIORAL SUPPORT SERVICES |
| Entity Type | Organization |
| Authorized Contact | ALBERTO E GROSSO ORTIZ Psr/Tcm 786-382-9045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |