| NPI | 1548637671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE A SPATARO Owner/Therapist 561-713-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: FL ADC0075712015) |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: FL ADC0075712015) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |