| NPI | 1265720569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC THOMAS MUNDT CEO/Owner 561-503-3059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MT2162) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2024-09-11 |