| NPI | 1861074031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE CARLOS HERRERA Vice President 786-236-5772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2023-01-23 |