| NPI | 1295689503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL CASTILLA Administrator 346-333-2794 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2026-02-24 |
| Last Update Date | 2026-02-24 |