| NPI | 1417690348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN WILLIAMS Contracting Lead 954-533-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2024-08-02 |