| NPI | 1639592082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCIE BROWN Director 954-678-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 490035AP) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 490035AP) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |