NPI | 1184038911 |
---|---|
Entity Type | Organization |
Authorized Contact | STUART GOFFMAN Owner 954-678-0078 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1706AD722001) |
Enumeration Date | 2014-06-19 |
Last Update Date | 2014-06-19 |