| NPI | 1033796982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY KULICK Executive Assistant 954-774-4682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2024-02-29 |