| NPI | 1154502888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY MCCALLA President 954-298-8586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL sw7809) |
| Enumeration Date | 2007-11-22 |
| Last Update Date | 2007-11-22 |