| NPI | 1841154424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CARLO Owner 305-815-6028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| 225X00000X Occupational Therapist | |
| 103K00000X Behavior Analyst | |
| 208100000X Physical Medicine & Rehabilitation | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2025-12-09 |
| Last Update Date | 2025-12-27 |