| NPI | 1164051967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BORKOWSKI Authorized Offical 954-487-1224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2021-08-25 |