| NPI | 1518362557 | 
|---|---|
| Doing Business As | JARROD FRIEDMAN | 
| Entity Type | Organization | 
| Authorized Contact | SHEBORIA HOLCOMBE Account Manager 561-795-0018  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL ME107418)  | 
| Enumeration Date | 2014-11-04 | 
| Last Update Date | 2014-11-04 |