| NPI | 1972848646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA FIELDS Clinical Director 305-774-9570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL isw 1905) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |