| NPI | 1811306327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVON HARRINGTON Supervisor 305-247-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: FL 1003085945) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2020-05-07 |