| NPI | 1538464292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZARINA DELMARR Credentialing Agent 954-746-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-11 |