| NPI | 1730576513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON M MARTINEZ Owner 786-615-6620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2025-02-14 |