| NPI | 1710474705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENITA V JOHNSON Ur Director 561-921-6142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |