| NPI | 1295158350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNEL ESCOFFERY Member 954-940-1013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-01-27 |