| NPI | 1740671064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BRAZZLE President 954-918-7303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2021-07-22 |