| NPI | 1174936637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE LAPIS Billing Manager 561-748-2889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 1550AD982501) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |