NPI | 1679920276 |
---|---|
Entity Type | Organization |
Authorized Contact | EDGAR ANTONIO HERNANDEZ Owner 786-286-3832 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13705) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HM13705) |
Enumeration Date | 2016-05-24 |
Last Update Date | 2024-12-12 |