| NPI | 1003952417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DAVID SIMON CFO 954-746-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: FL R-AFC-0906-100-6) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: FL R-AFC-0906-101-6) |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: FL R-AFC-1006-102-17) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-05-13 |