| NPI | 1952171266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG DOUGLAS WOOLARD Compliance Officer 561-346-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2025-09-04 |