| NPI | 1053733535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA SMITH Billing Manager 954-746-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 10D2070095) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-07-07 |