| NPI | 1366976672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEREE OJO Therapist 954-709-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL ISW 9202) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |