| NPI | 1841662715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRLINE STHILAIRE Billing 954-727-6605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |