| NPI | 1578178851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI A PORTER CEO 863-448-4342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care |
| Enumeration Date | 2020-09-13 |
| Last Update Date | 2020-09-13 |