| NPI | 1508100900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEISHA ZAFFUTO Business Manager 954-746-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1550AD608201) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2013-05-21 |