| NPI | 1306486162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES B MCMANUS CEO 561-315-3767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2022-04-26 |