| NPI | 1902207525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ERIC ROSS President 305-609-3025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH9487) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |