| NPI | 1689123390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HU Medical Director 561-465-1082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 5012) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2022-07-21 |