| NPI | 1902160997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOREEN FRANCES DONAHUE Owner 561-391-0365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW6533) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |