| 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 |