| NPI | 1063805224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEL ELIAS Owner 954-990-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |