| NPI | 1467958082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SMITH CEO 561-337-7976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 56081347114901) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |