| NPI | 1780973685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA JANSEN Manager 305-812-4610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 1084513) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |