| NPI | 1508399056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM NACHTWEY Director Of Admissions 954-205-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2022-09-30 |