| NPI | 1922443613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVES S EVEILLARD Agent Manager 954-983-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL me53634) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |