| NPI | 1154484103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STOKES AITKEN COO 561-318-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 0950AD113400) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2023-10-05 |