| NPI | 1750947222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISIAH COLES COO 561-502-3978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine Addiction Medicine |
| Additional Taxonomies | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2023-12-01 |