| NPI | 1063675213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA COLEMAN-HERNANDEZ Clinical Director 305-298-6561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |