| NPI | 1912050659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK C BLACKBURN COO 561-868-1608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 0950AD769803) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-07-09 |