| NPI | 1780122218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YIPSI MARTIN Mgr 954-866-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 251B00000X Case Management | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2025-10-09 |