| NPI | 1588196356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTINE DUGARD Counselor 954-592-7578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |