| NPI | 1013212653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON T. ACKNER Executive Director 772-546-3455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2014-06-25 |