| NPI | 1508141110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEE COMEAU Owner 561-656-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH10878) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |