| NPI | 1629098058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DICKEY President 561-381-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 1550AD690501) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2012-01-05 |