| NPI | 1497207963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES VIRGILIO President 877-708-5423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL Ch8940) |
| 103TH0100X Psychologist, Health Service | |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-11-15 |