| NPI | 1104295583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY PAL REGAN CEO 561-460-4137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: FL 10D2099701) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |