| NPI | 1457648438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY BOUZA-MERIDA Administrative Director 305-597-3861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |