| NPI | 1285101410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY MUNROE Regional Vice President 305-587-0316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |