| NPI | 1356694178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKI WOODY Director 561-863-4117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 1550AD515501) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-11-01 |