| NPI | 1366111536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAKIYA TAMARA DENNY Adminstrator 786-678-0789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| 174200000X Meals | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2024-04-15 |