| NPI | 1578426961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE KOPCHINSKY SIEGAL Ambr 305-469-0704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-12-03 |
| Last Update Date | 2025-12-03 |