| NPI | 1528484409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAVEL ABRAMOV Owner 305-916-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL CAP 4003) |
| Enumeration Date | 2014-03-15 |
| Last Update Date | 2021-05-12 |