| NPI | 1902302789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BORKOWSKI Authorized Office Official 954-487-1224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-11-21 |