| NPI | 1891931952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI E. JENNINGS President 954-547-9928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: FL PY6802) |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2009-01-12 |