| NPI | 1205377462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA KHAN CEO 561-214-7614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 504735707061) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |