| NPI | 1871956532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN RUBIN CEO 954-376-9631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 101YA0400X) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |