| NPI | 1972850626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENETA ANGELA BURRELL President/CEO 954-965-8292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 1706AD895301) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |