| NPI | 1891166088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASMINE DOMINIQUE Mgr 561-316-6576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2018-08-08 |