| NPI | 1629340435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANOUCHEKA CHEVELON Counselor 561-305-5976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL ISW5501) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |