| NPI | 1295127900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA IACULLO Billing Director 561-404-5872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1931AD043001) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |