| NPI | 1134816598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISIAH COLES COO 561-502-3978 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-07-13 |