| NPI | 1801505656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANELIS M BUSTAQUE RODRIGUEZ President 786-857-2940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2023-06-08 |