| NPI | 1184094567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA TAYLOR BLAKELY Owner 954-598-4215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |