| NPI | 1871843045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OREN WUNDERMAN Executive Director 305-960-5521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL NONE) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |