| NPI | 1104604685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINA POPA Owner/Manager 772-266-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |