| NPI | 1336496561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTHLYN WEBSTER Program Director 305-547-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL ISW 5953) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |