| NPI | 1295127314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD WILKERSON CEO 954-560-5238 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 13786) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |