| NPI | 1457630972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KACEE ELAINE TANNENBAUM President 954-800-0108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW 9879) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2012-01-20 |