| NPI | 1508922931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA A CAMPBELL Director Billing/Collections 954-691-0856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 0416AD910500) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2015-07-08 |