| NPI | 1700561685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAIMARA D FERNANDEZ GOMEZ Owner 786-548-6774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2024-03-08 |