| NPI | 1386041168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONA BARTRAM Owner 561-921-5162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW10421) |
| Enumeration Date | 2014-11-23 |
| Last Update Date | 2014-11-23 |