| NPI | 1578106480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARNI KISSIL Manager 561-225-4124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |