| NPI | 1477264695 |
|---|---|
| Former Legal Business Name | GOMEZ CLINIC CORP |
| Entity Type | Organization |
| Authorized Contact | ERIC CAMPILLO Director 305-300-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2023-08-04 |