| NPI | 1457862823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MCGINLEY Owner 561-674-6292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2018-05-03 |