| NPI | 1013390590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MELENDEZ Billing Director 954-560-5238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |