| NPI | 1528894094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIDELKIS SERRA President 954-382-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QH0700X Clinic/Center Hearing and Speech | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-11 |