| NPI | 1679057814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN M WAY Owner 954-393-7583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103T00000X Psychologist | |
| 111N00000X Chiropractor | |
| 133V00000X Dietitian, Registered | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-11-09 |