| NPI | 1063776979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON SACCENTO Revenue Cycle Liaison 561-459-3909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: 1956AD388302) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2015-08-13 |