| NPI | 1528415361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANETTE NOVOA Director 786-346-4182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-24 |