| NPI | 1356679203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA RENEE HIRSEMANN Certified Addiction Counselor 561-789-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: FL 1550ADO82601) |
| Additional Taxonomies | 251B00000X Case Management (Licence: FL 1550ADO82601) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2009-12-03 |