| NPI | 1336495290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGARDO VEGA Owner 954-746-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 10D2039731) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2014-01-07 |