| NPI | 1548864556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYDEL LOPEZ MENDEZ President 786-269-8757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 251S00000X | |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2021-01-28 |