| NPI | 1023251246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE ROBERT TREESE Owner 305-667-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL ME 0091693) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2009-04-17 |