| NPI | 1053790774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK COLL Director 786-412-2538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-11-09 |