NPI | 1487919684 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA F THOMAS Owner/CEO 561-255-7643 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 1550AD599901) |
Enumeration Date | 2012-07-12 |
Last Update Date | 2019-04-04 |