| NPI | 1275811879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAINARD HINES President 305-663-0013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL LMHC612) |
| Enumeration Date | 2011-07-30 |
| Last Update Date | 2011-07-30 |