| NPI | 1699482927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIETA GARCIA DE PORTO President 786-708-2717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |