| NPI | 1134669427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUVIEL RODRIGUEZ President 772-233-6295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW14065) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |