| NPI | 1346695475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE JEAN FLETCHER Officer 954-484-8444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 2517192) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-28 |