| NPI | 1952855082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN WINGATE Owner 561-827-7409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-10-18 |