| NPI | 1043784317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVON LEWIS-BUCHANAN Director 561-801-4946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2025-10-31 |