| NPI | 1538627211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOY RICHARDS Office Mgr 561-360-2388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2020-02-19 |