| NPI | 1639435076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE CROCCO Billing Admin 954-696-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1706AD464402) |
| Additional Taxonomies | 251S00000X (Licence: FL 1706AD464401) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2015-02-13 |