| NPI | 1699947275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE M WOLLER President 561-706-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW5325) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |