| NPI | 1467825018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA PALAZZO Billing Manager 954-260-7017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |