| NPI | 1043600646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA TRALONGO Owner 954-401-0868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL PY5671) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |