| NPI | 1073154241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ROMANO Director Of Billing 561-565-5628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 261QM0801X | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2021-09-01 |