| NPI | 1932739802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR EVERETT GAINES CEO 561-352-1587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2023-01-13 |