| NPI | 1548701113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY PICILLO Billing Manager 954-234-2469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 1301) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL ME114179) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2022-07-21 |