| NPI | 1962058057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS ZOFRAY Exec 561-453-0743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |