| NPI | 1144686536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE JACKSON CEO 561-935-5513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |