NPI | 1821976507 |
---|---|
Entity Type | Organization |
Authorized Contact | THALIA PUPO PEREZ Owner 786-740-2406 |
Organization Subpart ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2025-08-22 |
Last Update Date | 2025-09-08 |