| NPI | 1982624821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO-ANNE BLISS Clinical Director 954-967-6339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |