| NPI | 1336696566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WILLIAM BERGIDA CEO 561-305-8572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |