| 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 |