| NPI | 1174967681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN MATHIS Owner 954-251-2796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-04-26 |