NPI | 1497092282 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN DICKEY Director 954-678-0078 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: FL CLIA) |
Enumeration Date | 2013-01-14 |
Last Update Date | 2013-01-18 |