| NPI | 1417431289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY ALEXIS Office Manager 954-804-5239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |