| NPI | 1215569405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSTY TAYLOR Chief Financial Officer 561-917-2993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2023-06-19 |