| NPI | 1295233062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA MACDONALD COO 954-654-9072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2022-12-21 |