| NPI | 1376746073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA SMITH-JONES Clinician 305-493-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 0003944) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |