| NPI | 1831784180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDRED CINTRON Credentialing Specialist 561-235-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-09-27 |