| NPI | 1598328577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK KORCOK Managing Director 954-288-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |