| NPI | 1699361634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BASSANO COO 239-290-7297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2024-05-29 |