| NPI | 1578012589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELI KORNMILLER Onboarding Supervisor 561-672-8345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care (Licence: FL 5081347114901) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2017-01-13 |