| NPI | 1194108969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE SLINSKEY Executive 954-678-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IN 1712-0-ASO) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-06-29 |