| NPI | 1063963718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN SOBELMAN Owner/CEO 954-655-6735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |