| NPI | 1417151242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY FAGGEN LEVINE Therapist 305-668-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 266937256) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |