| NPI | 1639635980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA GAIL MCWHORTER CEO 561-666-9154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2022-07-01 |