| NPI | 1699268136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS C HERNANDEZ Manager 305-639-9917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 106E00000X Assistant Behavior Analyst | |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-06-09 |
| Last Update Date | 2018-07-19 |