| NPI | 1679901946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY BELLINO President 772-777-0467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1943AD633804) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2023-02-09 |