| NPI | 1154956639 |
|---|---|
| Doing Business As | SPORTS KONNECT YOUTH MOVE |
| Entity Type | Organization |
| Authorized Contact | DEVIN A BROWNE Owner 786-382-3014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-16 |