| NPI | 1275990947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRLINE STHILAIRE Office Manager 954-727-6605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-03-01 |