| NPI | 1043628522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM M FULLER CEO 954-232-7290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |