| NPI | 1316286453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MECHAC TRICE CEO 954-709-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2013-02-09 |
| Last Update Date | 2014-10-08 |