| NPI | 1184403255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANEISHA FREEMAN Manager 305-903-2505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2023-09-27 |