| NPI | 1578108403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDIRA A ALVAREZ President 786-612-4461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251B00000X Case Management | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2023-07-20 |