| NPI | 1952360620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH H KORRAY Chief Information Officer 305-635-0366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2019-12-09 |