| NPI | 1780264788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAYANSI MONTOYA Manager 305-338-9720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |