| NPI | 1659759116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA VANSANT Office Manager 561-252-9389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2015-05-15 |