| NPI | 1558661322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLEEN L DOOLEY Director/Sole Provider 305-745-3768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL ARNP 624842) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: FL ARNP 624842) |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-10-27 |