| NPI | 1326411968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAYLY GONZALEZ Licensed Clinical Social Worker/Own 786-326-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW12880) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: FL SW12880) |
| 103K00000X Behavior Analyst (Licence: FL SW12880) | |
| 251C00000X (Licence: FL SW12886) | |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2016-04-13 |