| 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 |