| NPI | 1316579634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN MINTZ CFO 954-533-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2023-07-28 |