| NPI | 1326171034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA MAJOR Assistant Director 954-357-4853 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2025-04-09 |