| NPI | 1982099693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN DOCKERY Director Of Patient Accounts 561-868-1607 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: GA 121-253-D) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2017-09-08 |