| NPI | 1750768578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA IRIZARRY Manager 954-534-5773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |