| NPI | 1356613616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WATT CEO 561-715-6210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2040428) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-11-07 |