| NPI | 1013461474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE CURRAN Director Of Operations 561-779-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |