| NPI | 1497025530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYRA M MATOS President 954-558-0473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW6773) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |