| NPI | 1487397998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON JONES Executive Director 954-951-2911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-04-14 |