| NPI | 1063502367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN RESCENDE Clinical Supervisor 1407-482-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL SW7490) |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2020-08-22 |