| NPI | 1003087537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL HERNANDEZ FABIAN Program Director, President 561-653-6292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2013-04-09 |