| NPI | 1003435173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND SAMAROO CFO 407-341-3119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X | |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2022-09-07 |