| NPI | 1225328370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYNE MARIE BAZZANO Director, Billing/Contracting 561-296-5288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2019-01-17 |