| NPI | 1043718588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN SULLIVAN Director Of Administrative Services 561-678-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2019-06-11 |