| NPI | 1679866925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYOKA MALCOLM Executive Director 321-230-4118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH9503) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2012-10-22 |