| NPI | 1326484320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARTER T WIGGINS Owner 305-895-3307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |