| NPI | 1194162636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS A CARROLL Executive/Clinical Director 561-632-5663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL IMH8296) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2019-04-23 |