| NPI | 1215822929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOHNSON CEO 772-667-1961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |