| NPI | 1487030219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY STOCKDALE CEO 561-283-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |