| NPI | 1578261202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRILL VESSELOV President 561-635-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2024-03-04 |