| NPI | 1750752218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS LAWSON Manager 561-379-7837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |