| NPI | 1154115707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLYNN VITARELLI Ap RN 954-861-0906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-04-08 |