| NPI | 1750991923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA S GERENA Credentialing And Ur 561-502-4720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2024-07-24 |