| NPI | 1699279307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXEI GOMEZ President 786-864-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2023-05-24 |