| NPI | 1134763717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA KELLY Chief Billing Officer 561-515-8947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2022-10-28 |