| NPI | 1053790402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DICKEY Owner 954-746-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |