| NPI | 1134542251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON JILL LOPEZ President 561-502-0305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |