| NPI | 1720714561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA I DUDEK Chief Compliance/Project Officer 561-301-9423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-07-25 |