| NPI | 1619851110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNSON O UWAGBOE Director 786-512-8256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-06 |