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 |