| NPI | 1972533271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA RICKETTS CFO 954-777-1662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 251B00000X Case Management | |
| 261Q00000X Clinic/Center | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2012-01-20 |