| NPI | 1225518954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ELDRIDGE Co Owner/Program Director 239-895-4472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |