NPI | 1407513534 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN MCLENDON Executive Director 561-632-0120 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2021-11-23 |
Last Update Date | 2021-11-23 |