| NPI | 1427693563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA KELLY Chief Billing Officer 561-515-8947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2020-02-06 |