| NPI | 1922309673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEDIA URBANO Clinical Supervisor 954-391-8598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2010-11-11 |