| NPI | 1740659200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH FENSTER CEO/Owner 561-990-2620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 5001) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2024-06-06 |