| NPI | 1285900795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKKI-ANN SAMUEL President 305-549-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: FL ME109266) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2022-07-21 |