| NPI | 1821331091 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | NEISHA ZAFFUTO Business Manager 954-746-8232 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 1706AD598901) | 
| Enumeration Date | 2013-04-05 | 
| Last Update Date | 2013-04-05 |