| NPI | 1588090955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL PIERCE Laboratory Director 954-691-6483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-09-17 |