| NPI | 1710457783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN WILLIAMS Financial Controller 954-634-4425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2018-12-03 |