| NPI | 1700289642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD WILKERSON CEO 954-560-5238 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NC MHL-060-1265) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |