| NPI | 1164951372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE O'CONNELL Facility CEO 954-981-9228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 0604) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2022-07-21 |