| NPI | 1235629387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN BRAUN Owner 954-811-8188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: mh15183) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |