| NPI | 1285074716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY S TRAUB Director 954-202-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL PY0003620) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |