| NPI | 1801075056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN OLAVARRIA Administrator 561-433-2336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 0950AD512901) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2013-11-18 |