| NPI | 1285867341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR ELLISON Director Of Finance 786-243-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL 1300) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1300) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2022-09-01 |