| NPI | 1184295123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINE KANZKI Vice President Of Operations 954-822-9370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2021-07-09 |