| NPI | 1770339814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS CANTO COO 954-654-2350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |