| NPI | 1952660102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERI HOSICK President, VP, S, T 561-795-6296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL MH 2784) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |