| NPI | 1245852383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISBEL SUAREZ Ambr 305-504-1749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2022-12-09 |