NPI | 1700243300 |
---|---|
Entity Type | Organization |
Authorized Contact | KELI KORNMILLER Senior Credentialing Specialist 561-672-8345 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2016-01-27 |
Last Update Date | 2016-01-27 |