| NPI | 1629574652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIE WATERS Business Administration 561-561-7141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1014878) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1014879) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1014880) | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |