NPI | 1780243394 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSH FENSTER CEO/Owner 954-304-4928 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
Enumeration Date | 2019-06-07 |
Last Update Date | 2020-02-26 |