| NPI | 1063875664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER WALSTROM Chief Operations Officer 561-998-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |