| NPI | 1578088415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KILLMEYER Owner 954-609-8175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MT2678) |
| Enumeration Date | 2017-08-12 |
| Last Update Date | 2022-07-21 |