| NPI | 1013608801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA KOROTKEVICH Executive 561-222-1719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2025-06-18 |