| NPI | 1285160895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA BEAMAN Manager Of Administration 561-336-9488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-12-21 |