| NPI | 1376933689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVERLEY FARQUHARSON Adm 561-291-9351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL OT-7008) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |