| NPI | 1992154512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIET ARAUJO VATNE Manager 786-337-1451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW9757) |
| Enumeration Date | 2016-06-04 |
| Last Update Date | 2016-06-04 |