| NPI | 1275069791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROSS Manager 561-336-9448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |