| NPI | 1174864839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN GOODMAN CEO 561-330-4688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 5002) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2022-07-21 |