| NPI | 1912371634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ABREU Billing Manager 954-415-9373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |