| NPI | 1093056459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MCGEENEY Owner 561-255-3904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 251S00000X | |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2015-11-17 |