| NPI | 1497023154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERISH LEMIEUX Director Of Billing/Ur 561-214-3194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2018-06-01 |