| NPI | 1770949083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN WHITEHEAD Director 561-693-2484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 50-01) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2022-07-21 |