| NPI | 1124538996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN M KAISER Manager 954-272-4072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2019-11-17 |