NPI | 1619370186 |
---|---|
Entity Type | Organization |
Authorized Contact | LAWRENCE J LEVY Clinical Director 561-206-4286 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
Enumeration Date | 2014-09-29 |
Last Update Date | 2014-09-29 |