NPI | 1588850945 |
---|---|
Doing Business As | AMBROSIA TREATMENT CENTER |
Doing Business As | NIA |
Entity Type | Organization |
Authorized Contact | REESA MCKENZIE CFO 561-545-1083 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1956AD339700) |
Enumeration Date | 2007-09-19 |
Last Update Date | 2022-07-21 |