| NPI | 1912690199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE ANNE KEITH Executive 305-720-9249 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2024-06-07 |