| NPI | 1083952535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANDREW PUGLIESE President 561-201-8850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2052571) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-05-22 |