NPI | 1225494529 |
---|---|
Entity Type | Organization |
Authorized Contact | KELI KORNMILLER Senior Credentialing Specialist 561-672-8345 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1550AD185301) |
Enumeration Date | 2016-01-04 |
Last Update Date | 2016-01-29 |