| 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 |