| NPI | 1053559674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LIRA CEO 561-433-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL 0950AD854301) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2011-09-15 |