| NPI | 1467947697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA JACKSON Owner 561-609-8660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL SW14469) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2019-01-06 |