| NPI | 1972191641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK RABBITO COO 305-573-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-03-04 |