| NPI | 1023365624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVATORE PALERMO Manager 954-367-7944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: FL ME99606) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |