| NPI | 1528567740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA COOK Owner 561-876-6237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2023-10-26 |