| NPI | 1962887851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA SCOTT Executive Director 305-699-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS3530) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC CSACI-14428) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |