| NPI | 1245903566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY O'SULLIVAN President 305-992-1784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2021-08-02 |