| NPI | 1760088132 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | FELICIA SENETTA ALI Director 786-262-3668  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Enumeration Date | 2020-12-09 | 
| Last Update Date | 2020-12-09 |