| NPI | 1699153957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO LAZARO CASTILLO Clinical Director 954-800-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH8360) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |