| NPI | 1245836584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAIZA JIMENEZ President 786-828-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2022-11-09 |