NPI | 1730637810 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER A LEE Chief Operating Officer 561-841-1003 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: FL 5001) |
Enumeration Date | 2016-09-16 |
Last Update Date | 2024-05-02 |