| NPI | 1497091474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BUTO Director Of Administrative Services 954-990-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2019-10-03 |