NPI | 1982025938 |
---|---|
Entity Type | Organization |
Authorized Contact | MARISA WAY Owner 954-422-1949 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2013-12-18 |
Last Update Date | 2019-09-10 |