| NPI | 1225660103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURI AMADOR-CRUZ Owner/President 786-442-5503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2024-04-01 |