| NPI | 1548493380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY MCCALLA Substance Abuse Counselor 561-336-6078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL SW7809) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2015-10-20 |