| NPI | 1902348162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELI KORNMILLER Onboarding Supervisor 561-672-8345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |