| NPI | 1295198497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RICHARDS Director Of Account Management 561-413-9860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: AZ CSLG7631) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |