| NPI | 1053957704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD HUSTON Project Manager COO 561-876-1498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2021-07-13 |