| NPI | 1083072995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THANIA QUESADA Medical Director 954-536-9549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 0647369300701) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |