| NPI | 1891113031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL J RODRIGUEZ Medical Director 561-266-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2022-01-13 |