| NPI | 1992313472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN ALZATE CEO 954-314-8202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-12-17 |