| NPI | 1538810338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE BALDASSARRE Executive Administrator 561-318-4468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2025-09-08 |