| NPI | 1679013650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA RUIZ-MATAMOROS President 786-261-5924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH9609) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |