| NPI | 1962945113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW SETH RUBIN PHD Executive Director 954-571-5102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |