| NPI | 1770998072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADINE JOHNSON Administrator 954-682-2155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: FL 12012) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |