| NPI | 1780204222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMONA R. MCFADDEN Executive Director 786-383-2623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251E00000X Home Health |
| 251K00000X Public Health or Welfare | |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QS1000X Clinic/Center, Student Health | |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2021-12-09 |