| NPI | 1346512795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK DEMARCO Director 561-845-0373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL NAP6013335) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-03-06 |