| NPI | 1700247400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JUSTIN FREIN CEO 561-530-3749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: FL 5001) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2022-07-21 |