| NPI | 1528121498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH LEE BARRY Account Manager 954-587-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1113AD763901) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |