| NPI | 1730592643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDY LAI Chief Financial Officer 772-361-9705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2024-10-17 |