| NPI | 1215411541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELKY CRESPO Owner 786-380-3818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| 251S00000X | |
| Enumeration Date | 2018-09-22 |
| Last Update Date | 2021-06-24 |