NPI | 1427541838 |
---|---|
Entity Type | Organization |
Authorized Contact | ISIAH COLES COO 561-502-3978 |
Organization Subpart ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
207R00000X Internal Medicine | |
2083A0300X Preventive Medicine, Addiction Medicine | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2018-06-11 |
Last Update Date | 2024-07-31 |