| NPI | 1356225817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL PHILIP KESARIS CEO, Owner 954-665-3826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-05 |