| NPI | 1861010522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANDILLA PATRICIA MCCLENDON CEO 305-502-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 261QC1500X Clinic/Center Community Health | |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2022-11-17 |