NPI | 1457895625 |
---|---|
Entity Type | Organization |
Authorized Contact | CARL GITTENS President 772-215-5905 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2016-12-07 |
Last Update Date | 2017-07-22 |