| NPI | 1093912446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE CLAIRE BLANCO Director 305-226-6720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH8934) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-08-22 |