| NPI | 1346513751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BENAIM Owner 561-745-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 1550AD982501) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH10942) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2015-11-04 |