| NPI | 1194007385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BEVELL Owner 561-577-3174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 1111) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |