| NPI | 1326722810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN MINTZ CFO 954-533-7705 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |