| NPI | 1093256935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN DOLL Owner/Manager 954-260-8667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW 14042) |
| Enumeration Date | 2017-03-11 |
| Last Update Date | 2018-10-17 |