NPI | 1619497609 |
---|---|
Entity Type | Organization |
Authorized Contact | EDUARDO ALVAREZ President 305-905-0631 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL MH7550) |
Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: FL MH7550) |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL MH7550) | |
Enumeration Date | 2017-06-21 |
Last Update Date | 2022-07-21 |