| NPI | 1205429834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES POWERS Executive Director 954-213-6569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2022-04-10 |