| NPI | 1326459959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY DURAND GOYINS Co Owner 561-777-0241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2014-05-16 |