| NPI | 1083972848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNOLLY D'SOUZA President 305-858-0662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL SW 8366) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: FL SW8366) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-06-02 |