| NPI | 1649690421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH HARVEY Laboratory Director 561-843-4877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: FL 10D2068987) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |