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 |