| NPI | 1952810764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZA DUNN Owner 561-631-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2022-07-21 |