| NPI | 1679985790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKKE ROCHELL BROOKS Director 954-594-4710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL IMT1950) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |