| NPI | 1669707204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE R SKOPP Owner 954-796-7477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL SW6411) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2022-04-13 |