| NPI | 1356405070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINE CROCCO CEO 954-627-6157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1006AD702801) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2017-10-26 |