| NPI | 1306350111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA SHEFFIELD Account Compliance Manager 561-708-6833 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |