| NPI | 1215308853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN R RODRIGUEZ Owner/ CEO 561-503-8661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |