| NPI | 1548529712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND WHITE Manager 305-375-3293 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 1113AD057331) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |