| NPI | 1144709304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE CROCCO Billing Administrator 954-696-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |