| NPI | 1689024085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ASSELIN CEO 772-214-1195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL APPLIED FOR) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |