| NPI | 1093053472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZIVA AVRAMOVICH Director 786-375-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW9294) |
| Enumeration Date | 2013-01-20 |
| Last Update Date | 2013-01-20 |