| NPI | 1417378407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH DAVIS Co Founder 954-213-4292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 10D2069693) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |