NPI | 1194616458 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA S. BATCHELDER Quality And Regulatory 786-487-0433 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-07-14 |
Last Update Date | 2025-07-14 |