| NPI | 1952012148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MACIAS-RODRIGUEZ CEO 954-549-5863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2023-02-07 |