| NPI | 1275753303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA GAYLE LANE Registed Clinical Social Worker Int 305-613-4831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2008-06-17 |