| NPI | 1972324002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAWZI FAROUN Owner 561-305-9638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-21 |