| NPI | 1629611520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYESH DAVE Sole Mbr 954-263-1514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2021-01-28 |