| NPI | 1932484466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSAUNDRA TENNILLE WIMES Psychologist 305-918-2588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL PY 8192) |
| Enumeration Date | 2011-10-16 |
| Last Update Date | 2023-04-29 |