| NPI | 1568696565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE ANNE KEITH Executive 305-720-9249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ CSA09ADHS0202 2) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2024-06-07 |