| NPI | 1932720554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADY JILL SJOSTROM CEO 786-597-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |