| NPI | 1760860225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN TAYLOR Admin 954-908-3973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2015-05-15 |