| NPI | 1639809841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDOLIDIA ALVAREZ Owner, CEO, Clinical Director 786-262-8713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-06-13 |