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 |