NPI | 1043892193 |
---|---|
Other Name | TCOA 2349 |
Entity Type | Organization |
Authorized Contact | ANNA LOPINTO Controller 561-815-2649 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2021-04-27 |
Last Update Date | 2021-04-27 |