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 |