NPI | 1922466572 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN DONALD DALACK Owner 561-427-7620 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL AP3620) |
Enumeration Date | 2016-02-10 |
Last Update Date | 2016-02-10 |