| NPI | 1508327628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN JAY BLENDEN Authorized Official 954-533-2306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-06-11 |