| NPI | 1215668041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE BRAVO CEO 954-297-9802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 305S00000X Point of Service | |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-06-22 |