| NPI | 1093404063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIGI VACCARO Billing 561-360-9589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2024-08-01 |