| NPI | 1164942009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATIMA KHAN-ALI Owner 954-937-5804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL 3003) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |