| NPI | 1225641616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GOMEZ Mr. 305-607-2896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2022-11-18 |