| NPI | 1760860639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC J LEON COO 954-641-5366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2022-12-05 |