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 |