| NPI | 1942041413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAL PRISCO Owner 561-523-4325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2025-02-07 |