NPI | 1558902304 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERITA N CHANG Cro 954-993-2040 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2019-10-03 |
Last Update Date | 2022-01-17 |