NPI | 1518087683 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE E BUDDLE-DIAZ President 954-224-5031 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP 3256) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 6986) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2020-08-22 |