| NPI | 1013359090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRICAL P. SADDLER President 305-467-4531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-25 |