| NPI | 1669802385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW FANALI Clinical Director 561-596-1602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |