| NPI | 1063844520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA SMITH Billing Manager 954-746-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2014-07-07 |