| NPI | 1356687388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY BELLINO President 772-777-0467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1943AD633801) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 10D2051168) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2022-06-07 |