| NPI | 1528754785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELE TREVATHAN Clinical Director 954-715-6838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |