NPI | 1124322870 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL BORKOWSKI Authorized Official 954-487-1224 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP2051) |
101YM0800X Counselor, Mental Health (Licence: FL MH8639) | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2011-01-10 |
Last Update Date | 2019-03-20 |