NPI | 1174098693 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER MERKLE President 954-234-0003 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2018-10-11 |
Last Update Date | 2019-05-14 |