| NPI | 1699144519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE ESTAPE Therapist 786-586-3788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH12972) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |