| NPI | 1366812943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLIN DAVIS WALLACE Co Founder And CEO 561-255-4135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-28 |