| NPI | 1134531783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE MANKO CEO 561-409-2217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1550AD644701) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |