| NPI | 1417601865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA JESUS CRUZ Administrator 786-534-7172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2025-02-18 |