| NPI | 1861002875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE JASPER Agent 561-272-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2022-06-23 |