| NPI | 1023382900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER COGAN CEO 954-946-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1706AD962101) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |