NPI | 1235583824 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER WALSTROM Chief Operations Officer 561-404-5976 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2016-04-20 |
Last Update Date | 2016-04-20 |