NPI | 1821597238 |
---|---|
Entity Type | Organization |
Authorized Contact | BRETT LIEBERMAN CEO 772-349-0218 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2018-02-12 |
Last Update Date | 2018-02-12 |