| NPI | 1023568862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI B. LONG Director 561-360-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH2035) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |