| NPI | 1740597137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSIE GONI Clinical Director 954-404-6261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MT2410) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2022-04-11 |