| NPI | 1952655821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANN NORWOOD Program Administrator 305-292-6737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2014-08-15 |