| NPI | 1366788291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M. LOUCAS President 561-863-4117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 1550AD515501) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2012-12-21 |