| NPI | 1043760507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE MARIE LEON President 772-233-0677 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 201617610562) |
| Enumeration Date | 2016-10-09 |
| Last Update Date | 2016-10-09 |