| NPI | 1134829062 |
|---|---|
| Doing Business As | SUBSTANCE ABUSE TREATMENT |
| Entity Type | Organization |
| Authorized Contact | MARTINE PHILLIPS Administrator 954-804-6607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-03-08 |