| NPI | 1659006278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLYN ORTEGA Executive Director 786-522-7203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-10-24 |