| 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 |