| NPI | 1548024805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARDAR KHAN Executive Director 561-779-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |