| NPI | 1891338661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD TUCKER Partner 561-685-2775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2021-04-16 |