NPI | 1386092351 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLA RAJARAM Billing Manager 954-272-6723 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2016-05-31 |
Last Update Date | 2016-05-31 |