| NPI | 1821436130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOSEPH O'CONNOR President 954-776-7176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL SW5622) |
| Enumeration Date | 2013-06-08 |
| Last Update Date | 2013-06-08 |