| NPI | 1366789828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WATT CEO 561-900-3327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1550AD634901) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2040428) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-02-13 |