| NPI | 1962937888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THELMA ELIZABETH TENNIE CEO 954-459-1473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL N15000007106) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2019-04-25 |