| NPI | 1689016560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L FERGUSON President 954-746-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: FL 38) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: FL 39) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |