| NPI | 1003156589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMESON MARKIS MERCIER President 954-681-5182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL SW 11168) |
| Additional Taxonomies | 251S00000X (Licence: FL SW 11168) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: FL SW 11168) | |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |