| NPI | 1013365725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ARBAUGH Director Of Payer Services 954-368-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 4047-4048) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2024-03-08 |