| NPI | 1578009239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BELOLO Owner 561-789-9359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 5001) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2022-07-21 |