| NPI | 1649463449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANNE JOHNSON Director 305-490-1778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH 7109) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2011-07-08 |