| NPI | 1639577950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SEIFERT Billing Manager 954-634-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-22 |