| NPI | 1598192460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT YATES Contracting Manager 954-533-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2023-11-03 |