| NPI | 1396104139 |
|---|---|
| Doing Business As | GRASSROOTS TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | CHI MICAH SEPPALA Mgmr 561-313-4562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 5001) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2022-07-21 |