NPI | 1053970053 |
---|---|
Doing Business As | SYNERGY SOBRIETY SOLUTIONS |
Entity Type | Organization |
Authorized Contact | EDMUND LACKNER Authorize Official 954-562-1679 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2019-06-12 |
Last Update Date | 2022-09-08 |