| NPI | 1821512476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERSON VOLTAIRE Owner 561-523-9144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL 1018003) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 1018004) |
| 251S00000X | |
| 251S00000X (Licence: FL 1018004) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1018003) | |
| 101YM0800X Counselor, Mental Health (Licence: FL 1018003) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1018004) | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2018-08-03 |