NPI | 1205725314 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS LOBAITO CEO 954-817-9711 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2025-07-02 |
Last Update Date | 2025-07-02 |