| NPI | 1457645103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANN LUIS Owner 954-559-5073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL PY 6436) |
| Enumeration Date | 2011-05-30 |
| Last Update Date | 2011-05-30 |