| NPI | 1497399125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA LYNN CHASE Owner & CEO 561-777-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |