| NPI | 1538504543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SEIFERT Office Manager 954-678-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |