| 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 |