| NPI | 1164889762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER REUL Owner 954-657-8524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-04-06 |