| NPI | 1861037384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES C AMADOR Owner 954-394-4064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2023-03-09 |