| NPI | 1871923490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MADDALONI Authorized Official 561-323-0049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2024-06-08 |