| NPI | 1700135399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON USILTON Director 561-318-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1706AD576201) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2023-10-11 |