| NPI | 1982327029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRILL VESSELOV Manager 561-635-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2025-02-11 |