| NPI | 1619370186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE J LEVY Clinical Director 561-206-4286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |