| NPI | 1871985853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA NOEL GAUTIER Treatment Provider 305-507-3461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL 9196713) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2015-02-27 |