| NPI | 1023687563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA QUINN Billing Director 561-818-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-06-19 |
| Last Update Date | 2021-12-22 |