| NPI | 1891134508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SEIFERT Office Manager 954-678-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 1550AD383201) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |