| NPI | 1952784183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD A DIBARTOLOMEO CFO 772-461-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |