NPI | 1013699610 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA DENIS Owner 954-614-9755 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-08-02 |
Last Update Date | 2024-07-02 |