| NPI | 1821473307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY SCHNELLENBERGER Owner 561-251-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2017-07-07 |