| NPI | 1134715626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HASSON Director Of Billing 561-237-5306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2022-02-07 |