| 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 | 2016-05-24 |