| NPI | 1760745459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK I MINSON Owner 561-999-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL py3478) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |