| NPI | 1205663671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO LUIS JIMENEZ PULIDO Administrator 786-651-4190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-25 |