NPI | 1679263644 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES GREGORY CHAUNCEY Owner 352-650-0883 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-05-11 |
Last Update Date | 2023-09-23 |