NPI | 1295275188 |
---|---|
Entity Type | Organization |
Authorized Contact | DANNIEL DILLOW CEO 561-577-5177 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
Enumeration Date | 2017-02-27 |
Last Update Date | 2025-10-10 |