| NPI | 1831655406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL QUINTERO CEO 954-909-0407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-12-23 |