| NPI | 1922699313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IESHA WRIGHT CEO 786-985-0175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2022-07-11 |