| NPI | 1861080319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID CRUZ UGUET Authorized Official 786-353-2324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2024-10-07 |