| NPI | 1811316482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ARIAS SHAH President 888-429-4072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 2586) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2015-01-21 |