| NPI | 1124350368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY LITVINOV President 305-807-7524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL me101966) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |