| NPI | 1477936151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON DWOLLE Office Manager 561-833-7553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 1550AD670202) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |