| NPI | 1134573512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY L MIDDLEBROOK President 561-531-8356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL PY 9495) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: FL PY 9495) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |