| NPI | 1598130098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA TUCKER Chief Executive Officer 772-219-1355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 111NX0100X Chiropractor, Occupational Health |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 225700000X Massage Therapist | |
| 284300000X Special Hospital | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2024-10-01 |