| NPI | 1104226497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZARINA DELMARR Billing Manager 954-678-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |