| NPI | 1639474398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANN FYFE COO 561-296-0530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2015-06-03 |