| NPI | 1255014908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACH BECHARD Billing Manager 561-389-6930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-09-22 |