| NPI | 1952776544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDI BARNES Boss 561-324-2140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |