| NPI | 1801535497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR NUNEZ Administrator 786-325-6219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-06-01 |