| NPI | 1649500182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEMINISA M SOLORZANO Crco Rcm Director 954-667-5465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1706AD022401) |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2024-10-23 |