| NPI | 1174245013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANAE BELL Manager 954-907-0439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2023-01-19 |