| NPI | 1609214089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY SCHECHNER Director Of Payer Relations 407-721-1235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: IL A-5218-0003-A) | |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2023-03-30 |