| NPI | 1225661473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M KEENER Owner/Clinical Social Worker 305-305-9055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| 261QC1800X Clinic/Center Corporate Health | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |