| NPI | 1346627270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ROUSSEAU Chief Administrative Officer 772-266-7682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2020-06-03 |