| NPI | 1508254012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETE OBERG COO 561-255-3573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1550AD185301) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |