| NPI | 1205593498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA KOROTKEVICH Chief Executive Officer 561-222-1719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2021-11-22 |