| NPI | 1932625746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RESHMA HARILAL CEO 561-932-4665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CMHP100002) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |