NPI | 1457711681 |
---|---|
Doing Business As | SPACEKIDS BEHAVIORAL THERAPY |
Entity Type | Organization |
Authorized Contact | IVONNE LOPEZ Hha 786-445-1335 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 251E00000X Home Health |
Enumeration Date | 2016-03-01 |
Last Update Date | 2025-03-17 |