| NPI | 1356877047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALLICA DAVID REYNOLDS Clinical Director 561-401-8527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: FL MT3178) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |