| NPI | 1619793452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURISADAY RONES Owner 786-374-9928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2025-07-28 |