| NPI | 1356933022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMBERTO MUNOZ President 239-258-0775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2021-02-04 |