| NPI | 1013227131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER BURGGRAF CEO 954-482-1981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1706ADS91301) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |