| NPI | 1730561358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN NEEDELL Program Director 561-715-3260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-19 |