| NPI | 1942519020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN LYNGVED SHEA President 786-683-4331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW 10044) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2012-02-13 |