NPI | 1922556638 |
---|---|
Entity Type | Organization |
Authorized Contact | GABRIELLE E SMITH CEO 561-822-3620 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: FL OS9035) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH7281) |
163W00000X Registered Nurse (Licence: FL ARNP91662242) | |
Enumeration Date | 2016-09-12 |
Last Update Date | 2016-09-12 |