| NPI | 1699153718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHISH BHATT Medical Director 954-200-8308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL applied for) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |