| NPI | 1760892111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL JEREMIAH JOHNSON Director 954-696-4135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |