NPI | 1619866175 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHANNA IVETTE PINA CEO 786-376-3391 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2025-06-30 |
Last Update Date | 2025-06-30 |