| NPI | 1942651187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE MADISON Chief Executive Officer 561-660-6549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 5084241799701) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |