NPI | 1639413859 |
---|---|
Entity Type | Organization |
Authorized Contact | ANA GABRIELA JOSEPH Supervisor 954-958-0988 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 00000000) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2012-11-15 |