NPI | 1932542941 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN C. PROFERA President/CEO 561-329-3642 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: FL 2966762) |
Enumeration Date | 2013-04-09 |
Last Update Date | 2013-04-09 |