| NPI | 1457196735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRILL VESSELOV President 561-396-5849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2025-01-22 |