| NPI | 1275133746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COTY MARTIN CEO 305-401-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |