| NPI | 1215668041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE G BRAVO CEO 954-297-9802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2025-06-02 |