| NPI | 1922888155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DILIANA B POLANCO President 321-209-1339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-11-10 |