| NPI | 1528236239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WALSH Owner 561-350-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |