| NPI | 1265938971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GIBSON Chief Operating Officer 561-603-7837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2019-06-11 |