| NPI | 1114313392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LOCEFF Chief Administrative Officer 561-578-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |