| NPI | 1023552304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVATORE PACE Executive Director 561-290-0239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 5046072471901) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2019-03-13 |