NPI | 1851106157 |
---|---|
Entity Type | Organization |
Authorized Contact | CORY LEWIS CEO 954-573-5783 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2025-02-12 |
Last Update Date | 2025-02-12 |