| NPI | 1235664368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW JEAN Therapist 305-522-5105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 17-00092519) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |