| NPI | 1659734663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BOWMAN Contact Person 561-562-8146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |