| NPI | 1841703592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA E MOE Sole Member 561-935-8905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL PY9142) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2023-10-17 |