| NPI | 1447914288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FARACHE CEO 954-744-3696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2021-10-27 |