| NPI | 1093870636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINE CROCCO CEO 954-410-6108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1006AD702801) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |