| NPI | 1265698880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE BELL Team Leader 954-587-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-11 |