| 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 |