| NPI | 1003288473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA PALAZZO Billing Manager 954-260-7017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |