| NPI | 1013741552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON WATT Owner 561-247-0248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2025-04-09 |