| NPI | 1427858893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS CANTO Authorized Official 954-654-2350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-03-15 |
| Last Update Date | 2025-03-17 |