| NPI | 1548665557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE JASPER CEO 561-272-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH7836) |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2019-12-16 |