| NPI | 1851828131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA SPIAK Owner 561-318-1826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL mh11347) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2017-05-17 |