| NPI | 1245606888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN LICHTENBERGER President 561-346-7731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: FL 10D2100079) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-19 |