| NPI | 1568028751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAN JONES CEO 954-805-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-14 |