| NPI | 1619850799 |
|---|---|
| Doing Business As | CANAAN PLACE |
| Entity Type | Organization |
| Authorized Contact | LUDY FERTILE Clinical Director 954-770-8138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |