| NPI | 1427611094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MERKLE Owner/President 561-704-6781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |