| NPI | 1477071116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE J MACK Owner/CEO 561-396-6122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2018-06-16 |