| NPI | 1811332901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEISHA ZAFFUTO Billing Manager 954-746-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 1805AD305401) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2014-06-06 |