| NPI | 1184029845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA V EATON Owner/President 954-862-1736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL SW 3884) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |