| NPI | 1194270942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JACKSON CEO 954-663-8045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |