| NPI | 1730628652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDIE NEAL Director Of Administrative Services 561-469-8336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-08-16 |