NPI | 1952751786 |
---|---|
Doing Business As | MANGO BAY RETREAT |
Entity Type | Organization |
Authorized Contact | DEBRA JONES Owner 561-318-7233 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 5002) |
Enumeration Date | 2016-06-13 |
Last Update Date | 2022-07-21 |