| NPI | 1447591052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN C BROWN Administrator 954-551-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: FL AL12229) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |