| NPI | 1245784610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT NOEL Adminstrator 561-568-6787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 5001) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2022-07-21 |