| NPI | 1023488905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA JOHNSON Owner 561-469-1454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 1550AD207401) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |