| NPI | 1639440597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIXIE BROWN Executive Director 561-706-3185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1550AD426501) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2013-12-10 |