| NPI | 1992107999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILY YANES Credentialing And Compliance Specia 954-431-9838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2023-01-12 |