| NPI | 1740946391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARRETT SLAFF Executive 561-706-7224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2021-11-09 |