| NPI | 1679116909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA LISA DE LIMA Director Of Compliance 561-201-8209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2023-10-30 |