| NPI | 1518472414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MATA President 786-542-5043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2024-01-23 |