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 |