| NPI | 1447617493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALONDA COPELAND Chief Operating Officer 954-816-3436 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL HCC9665) |
| Additional Taxonomies | 251B00000X Case Management (Licence: FL HCC9665) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: FL HCC9665) | |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2021-08-05 |