| NPI | 1497347272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES RIVERA-GONZALEZ President 321-303-4819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2022-06-15 |