| NPI | 1679905178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER WILLIAM HOWARD Executive Director 954-256-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL MT 2758) |
| Additional Taxonomies | 251B00000X Case Management (Licence: FL MT 2758) |
| 251S00000X Community/Behavioral Health (Licence: FL MT 2758) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL MT 2758) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: FL MT 2758) | |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2015-12-23 |