| NPI | 1962983833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN HATHAWAY Owner 954-306-3119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |