| NPI | 1104239631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL MORIN CEO 561-304-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1550AD218401) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |