| NPI | 1811754773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN GOODSTAT Board Member 954-415-0758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |