| NPI | 1316315260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISSI SENEWAY Representative 561-287-1808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |