| NPI | 1497131338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MARIE KUBAT President 954-336-3512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH7747) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |