| NPI | 1417127986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO JOSE DOMINGUEZ President 954-345-8483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: FL 1-01-0550) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 1-01-0550) |
| 103K00000X Behavior Analyst (Licence: FL 1-01-0550) | |
| 253J00000X Foster Care Agency (Licence: FL 1-01-0550) | |
| 251S00000X (Licence: FL 1-01-0550) | |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2014-07-08 |