| NPI | 1457726994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ABREU Billing Manager 954-415-9373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |