| NPI | 1750659611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASIM ELHABASHY CEO 561-266-0853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 1550AD008501) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 201144721) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |