| NPI | 1043715345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL KOZEL CEO 954-817-1424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IN 1770-001) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |