| NPI | 1669039061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK SLOCUM Executive Director 321-328-0266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2024-05-09 |