| NPI | 1851439434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE JOSEPH GALLICHIO Executive Director 954-772-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 438) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 4097) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2011-12-09 |