| NPI | 1578006474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM J FELDER Owner 561-707-9662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-11-23 |