| NPI | 1912259177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK CID Owner 561-455-2709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |