| NPI | 1740735117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAL ANDRIES Owner 772-321-8620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: FL MH14206) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |