| NPI | 1922563634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA VERA Owner 954-616-5246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-03-20 |