| NPI | 1164270849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF ROCKER President 786-355-8680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 251V00000X Voluntary or Charitable | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |