| NPI | 1275692204 |
|---|---|
| Doing Business As | BREVARD OUTPATIENT ALTERNATIVE TREATMENT |
| Entity Type | Organization |
| Authorized Contact | JOHN W HOLDSWORTH Executive Director 321-773-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 0705AD916901) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2009-06-10 |