| NPI | 1851680607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAN JONES Dir. Of Operations 561-955-8575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |