| NPI | 1205259975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CICETTI Owner 561-734-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL PY7715) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |