| NPI | 1710163969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISSA PFANNENSTIEL Prestident 786-556-7599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL sw 8891) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2009-07-13 |