NPI | 1013656180 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERITA C CHANG Cro 954-993-2040 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
Enumeration Date | 2022-05-27 |
Last Update Date | 2023-07-27 |