| NPI | 1093257602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN GAMA BMASSANGA President 305-494-4392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 1-02-0914) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2024-05-27 |