| NPI | 1467236075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA S GERENA Ur And Credentialing 561-502-4720 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2024-07-24 |