| NPI | 1093260374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA DEPAOLIS CEO/Clinical Director 561-899-0930 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 5001) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2022-07-21 |