| NPI | 1790662096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH ELENA MARQUEZ Owner 786-340-9038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |