| NPI | 1194942409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANSLEY WALTERS Director 305-755-6202 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 1113AD057313) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-08-29 |