| NPI | 1720521545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY GILES BREAKEY Owner 561-320-2449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |