NPI | 1053758102 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA IACULLO Billing Director 561-715-9288 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2013-05-30 |
Last Update Date | 2013-07-11 |