| NPI | 1659652980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE MICHAEL ERRICO President 727-301-3070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: DE DE10023M) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2021-09-24 |